| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.75 | $74.00 | $606.62 | |
Aetna
| Professional | $5.86 | $34.67 | $62.53 | |
Cigna
| Facility | $6.56 | $8.52 | $13.59 | |
Cigna
| Professional | $5.05 | $5.05 | $5.05 | |
United
| Professional | $5.05 | $5.05 | $57.79 |